Healthcare Provider Details

I. General information

NPI: 1265013924
Provider Name (Legal Business Name): THOMAS CERRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 W 11TH AVE
COLUMBUS OH
43201-2356
US

IV. Provider business mailing address

635 BARNHILL DR
INDIANAPOLIS IN
46202-5126
US

V. Phone/Fax

Practice location:
  • Phone: 614-247-7701
  • Fax:
Mailing address:
  • Phone: 317-274-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number57.259375
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: